Abstract
Vertical maxillary excess (VME) is a facial condition characterized by an increased height in the lower third of the face, leading to a longer overall facial appearance. This condition is linked to a significant proportion of malocclusions and is often associated with greater dissatisfaction among patients concerning their appearance. The amalgamation of orthodontics with surgery is a desirable protocol to address VME. The present clinical case exemplifies the effect of LeFort I with segmental anterior maxillary osteotomy and advancement genioplasty on improving the patient's skeletal, dental, soft tissue, and overall aesthetics.